Description: Provides an overview of developments in the healthcare market including provider billing practices. Provides an overview of the Government Finance Officer’s Association (GFOA) in New York on Dec. 6, 2018

Description: The process of setting initial and renewal premium rates for small group medical block of business using risk characteristics. Presents three pricing schemes and compares profitability Following the Curve, Lowest Best Rate and Highest Worst Rate.

Description: In this article, the author discusses the Georgia Uninsured Working Group and their recommendations on solutions for the uninsured in Georgia through new HRA/HSA laws. Issue No. 59

Description: This article relates the health insurance industry to baseball retain & grow business while making a profit, competition, additional product offerings, evaluating risks. Issue No. 59

Description: The entire issue of Health Watch.

Description: When setting reserves, multiple methods are often used in the creation of the reserve estimate. Judgment is warranted to combine these different estimates into a final recommendation. This paper describes two techniques that can be used to combine these estimates that may result in better accuracy and lower variance.

Description: This article discusses new opportunities for states to waive certain marketplace requirements of the Patient Protection and Affordable Care Act. The article focuses on specific opportunities for states and the role that actuaries will play.

Description: This presentation from Session 4PD of the SOA 1996 Orlando Annual Meeting provides an update on the issues addressed and findings reached by the American Academy of Actuaries [AAA] work group responsible for Medical Savings Accounts [MSAs]. From the Record of the Society of Actuaries, Vol. 22, No. 3.

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting discuss how clinicians and actuaries work together in a managed care environment and how they can serve as a resource to each other. Views are presented from both a clinician and an actuary.

Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting offer several approaches to creative provider reimbursement where a single capitation and fee schedule was not the best solution.